首页> 外文期刊>Journal of public health management and practice: JPHMP >Assessing the Retail Environments of Licensed and Unlicensed Cannabis Dispensaries: Adapting the Marijuana Retail Surveillance Tool to Inform Cannabis Regulation in Los Angeles County
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Assessing the Retail Environments of Licensed and Unlicensed Cannabis Dispensaries: Adapting the Marijuana Retail Surveillance Tool to Inform Cannabis Regulation in Los Angeles County

机译:评估许可和未经许可的大麻零售的零售环境:适应大麻零售监测工具,以便在洛杉矶县通报大麻规管部

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Context: After statewide legalization of recreational cannabis in California, the Los Angeles (LA) County Board of Supervisors requested a health equity impact assessment to inform its decisions on whether and how to regulate cannabis dispensaries in unincorporated areas of LA County. Objective: As part of this assessment, the LA County Department of Public Health compared the retail environments of licensed and unlicensed cannabis dispensaries in different parts of the county, using the Marijuana Retail Surveillance Tool (MRST), a validated instrument piloted in Colorado and Washington. Design: Two waves of observational surveys were conducted, one comparing licensed and unlicensed dispensaries within and near unincorporated areas of LA County and another comparing licensed dispensaries across LA County in areas with varying levels of health advantage according to a neighborhood index measuring social determinants of health. Main Outcome Measures: Dispensaries were compared on measures of product types, promotional activities, security measures, regulatory compliance, and neighborhood context. Results: Unlicensed dispensaries were more likely than licensed dispensaries to sell products in packaging designed to be attractive to children (71.8% vs 10.8%, P < .001) and in non–child-resistant packaging (98.9% vs 15.6%, P < .001) and were more likely allow on-site consumption (60.9% vs 0%, P < .001). Licensed dispensaries showed high compliance with regulations, regardless of whether they were in areas of high or low health advantage. Conclusions: The study points to the importance of efforts to eliminate illicit businesses as part of an overall strategy for regulating cannabis. It also demonstrates that the MRST is a flexible tool for regulatory surveillance and for continuing to study the relationships between cannabis retail environments and potential risks to public health.
机译:背景:加利福尼亚州休闲大麻在全州范围内合法化后,洛杉矶(LA)县监督委员会要求进行健康公平影响评估,以告知其是否以及如何监管洛杉矶县非法人区的大麻药房的决定。目标:作为该评估的一部分,洛杉矶县公共卫生部使用大麻零售监测工具(MRST)对该县不同地区的有执照和无执照大麻药房的零售环境进行了比较,MRST是一种在科罗拉多州和华盛顿州试点的经验证的工具。设计:进行了两次观察性调查,一次是比较洛杉矶县非法人区内和附近有执照和无执照的药房,另一次是根据衡量健康的社会决定因素的邻里指数,比较洛杉矶县不同健康优势水平地区有执照的药房。主要观察指标:比较药房在产品类型、促销活动、安全措施、法规遵从性和社区环境方面的表现。结果:与持照药房相比,无照药房更有可能以对儿童有吸引力的包装(71.8%对10.8%,P<0.001)和非儿童抗性包装(98.9%对15.6%,P<0.001)销售产品,并且更有可能允许现场消费(60.9%对0%,P<0.001)。持照药房显示出高度遵守法规,无论它们位于健康优势高或低的领域。结论:这项研究指出,作为管制大麻的总体战略的一部分,努力消除非法经营的重要性。它还表明,MRST是一种灵活的监管工具,可以继续研究大麻零售环境与公共卫生潜在风险之间的关系。

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